Cultural Adaptation of the Three Good Things Protocol for Drug Abusers Undergoing Drug Rehabilitation

Authors

  • Leni Nurul Azizah Universitas Padjadjaran, Indonesia
  • Asteria D. Kumalasari Universitas Padjadjaran, Indonesia
  • Efi Fitriana Universitas Padjadjaran, Indonesia

DOI:

https://doi.org/10.38035/dijemss.v6i6.4941

Keywords:

Cultural Adaptation, Drugs, Three Good Things

Abstract

In 2021, the prevalence rate of drug abusers in Indonesia reached 3.66 million. This is concerning because a number of residents will experience a decrease in productivity. Meanwhile, existing interventions have not prevented relapse. This study aims to adapt the Three Good Things Protocol as a supplementary approach for drug users during rehabilitation. The cultural adaptation methods are based on Barrera and Castro (2013) and consist of three stages: (1) gathering information, studying literature (31 sources), and conducting interviews with five counselors and stakeholders; (2) designing a preliminary adaptation with the help of two translators, linguists, and psychologists; and (3) testing the preliminary adaptation through a 14-day pilot study, participants (n = 4), and consulting with two psychologists and one counselor. Fourth, adaptation refinement involves improving the protocol based on feedback results. The evaluation of protocol acceptance uses the TFA interview guidelines (Sekhon, 2017). The results showed several modifications from the original protocol to the Indonesian version, including aspects related to participant characteristics, media, reminders, and emotional expression space. The level of acceptance from experts and participants was acceptable. Participants showed an increasing trend of positive affect and a decreasing trend of negative affect on days 1, 7, and 14, but these results still need to be tested for effectiveness. In conclusion, this study produced an Indonesian version of the Three Good Things Protocol that is culturally appropriate and acceptable with various adjustments.

References

Addiction in Indonesia: Facts, Risks, and Treatment. (n.d.). Retrieved December 13, 2023, from https://www.addictioncenter.com/addiction/addiction-in-indonesia/

American Academy of Pediatrics. (2020). Substance use and abuse in adolescents: Clinical report. Pediatrics, *145*(3), e20200521. https://doi.org/10.1542/peds.2020-0521

Aprianti, D., & Suhartini, E. (2020). Preemptive efforts, preventive efforts, and repressive efforts in handling drug abuse. Journal of Public Health, *15*(3), 45–60.

Barrera, M., Jr., Castro, F. G., Strycker, L. A., & Toobert, D. J. (2013). Cultural adaptations of behavioral health interventions: A progress report. Journal of Consulting and Clinical Psychology, 81(2), 196–205. https://doi.org/10.1037/a0027085

Bernal, G., Bonilla, J., & Bellido, C. (1995). Ecological validity and cultural sensitivity for outcome research: Issues for the cultural adaptation and development of psychosocial treatments with Hispanics. Journal of Abnormal Child Psychology, 23(1), 67–82. https://doi.org/10.1007/BF01447045

National Narcotics Agency. (2019, October 30). Stages of Drug Rehabilitation. https://gorutkab.bnn.go.id/tahapan-rehabilitasi-narkoba/

National Narcotics Agency (2021). What is Drug Rehabilitation? https://bandungkota.bnn.go.id/apa-itu-rehabilitasi-narkoba-3/

National Narcotics Agency. (2021). Report on the National Survey of the Development of Drug Abuse in Indonesia in 2021. BNN RI. https://www.bnn.go.id

Creswell, J.W. and Plano Clark, V.L. (2011) Designing and Conducting Mixed Methods Research. 2nd Edition, Sage Publications, Los Angeles.

Compton, W. M., Thomas, Y. F., Stinson, F. S., & Grant, B. F. (2007). Prevalence, correlates, disability, and comorbidity of DSM-IV drug abuse and dependence in the United States: Results from the National Epidemiologic Survey on Alcohol and Related Conditions. Archives of General Psychiatry, *64*(5), 566–576. https://doi.org/10.1001/archpsyc.64.5.566

Dube, S. R., Felitti, V. J., Dong, M., Chapman, D. P., Giles, W. H., & Anda, R. F. (2003). Childhood abuse, neglect, and household dysfunction and the risk of illicit drug use: The adverse childhood experiences study. Pediatrics, *111*(3), 564–572. https://doi.org/10.1542/peds.111.3.564

Fauzi, A., & Rahman, T. (2020). Factors causing relapse after medical treatment for drug abusers at the Suryalaya Islamic Boarding School in Tasikmalaya. Journal of Clinical Psychology and Mental Health, *9*(2), 123–135.

Goldman, D., Oroszi, G., & Ducci, F. (2005). The genetics of addictions: Uncovering the genes. Nature Reviews Genetics, *6*(7), 521–532. https://doi.org/10.1038/nrg1635

Hartono, B., Sari, P., & Wijaya, H. (2022). Reinforcement for students against the threat of drug abuse in Rejosari Village, South Lampung. Journal of Community Service, *4*(2), 123–135. https://doi.org/10.31540/jpm.v4i2.1564

Horgan, C., et al. (2016). Health care systems and substance use disorders. Psychiatric Services, *67*(6), 622–629. https://doi.org/10.1176/appi.ps.201500235

Howard, M O, D Kivlahan, and R D Walker. “Cloninger's Tridimensional Theory of Personality and Psychopathology: Applications to Substance Use Disorders.” Journal of Studies on Alcohol 58, no. 1 (January 1997): 48–66. https://doi.org/10.15288/jsa.1997.58.48.

Kessler, R. C., Chiu, W. T., Demler, O., & Walters, E. E. (2005). Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, *62*(6), 617–627. https://doi.org/10.1001/archpsyc.62.6.617

Krentzman, A. R. (2017a). Gratitude, Abstinence, and Alcohol Use Disorders: Report of a Preliminary Finding. Journal of Substance Abuse Treatment, 78, 30–36. https://doi.org/10.1016/j.jsat.2017.04.013

Krentzman, A. R., & Finn, M. T. M. (2019). GRATITUDE WHILE DRINKING, GRATITUDE WHILE RECOVERING: A STUDY OF ALCOHOL USE DISORDERS. Journal of Recovery Science, 1(3). https://doi.org/10.31886/jors.13.2019.39

Krentzman, A. R., Mannella, K. A., Hassett, A. L., Barnett, N. P., Cranford, J. A., Brower, K. J., Higgins, M. M., & Meyer, P. S. (2015). Feasibility, Acceptability, and Impact of a Web-Based Gratitude Exercise Among Individuals in Outpatient Treatment for Alcohol Use Disorder. The Journal of Positive Psychology, 10(6), 477–488. https://doi.org/10.1080/17439760.2015.1015158

Mills, M. Teesson, J. Ross, and L. Peters. “Trauma, PTSD, and Substance Use Disorders: Findings from the Australian National Survey of Mental Health and Well-Being.”.” American Journal of Psychiatry, n.d.

Nevid, Jeffrey, Alexander Gordon, Andrew Miele, and Luke Keating. “Personality Profiles of Individuals with Substance Use Disorders: Historical Overview and Current Directions.” Journal of Mental Health & Clinical Psychology 4, no. 2 (May 1, 2020): 38–44. https://doi.org/10.29245/2578-2959/2020/2.1198.

Sanchez, Z. M., et al. (2013). Revista Brasileira de Psiquiatria, *35*(1), 29–35.

Saputra, R., & Wijaya, H. (2021). The impact of drug abuse on the urge to commit criminal acts. Indonesian Journal of Criminology, *17*(2), 89–102.

Smith, J., & Brown, L. (2018). Patterns of drug use: A study of experimental, social-recreational, and circumstantial-situational users. Journal of Substance Abuse Research, *12*(3), 45–60. https://doi.org/10.xxxx/jsub.2018.12345

Sekhon, M., Cartwright, M., & Francis, J. J. (2017). Acceptability of healthcare interventions: An overview of reviews and development of a theoretical framework. BMC Health Services Research, 17(1), 88. https://doi.org/10.1186/s12913-017-2031-8

Setyowibowo, H., & Chalif, S. N. L. (2023). Acceptability of mindfulness-based breathing exercise as self-help to overcome anxiety in Padjadjaran University students.

Turner, Sarah, Natalie Mota, James Bolton, and Jitender Sareen. “Self-Medication with Alcohol or Drugs for Mood and Anxiety Disorders: A Narrative Review of the Epidemiological Literature.” Depression and Anxiety 35, no. 9 (September 2018): 851–60. https://doi.org/10.1002/da.22771.

Uhl, G. R., Koob, G. F., & Cable, J. (2019). The neurobiology of addiction. Annals of the New York Academy of Sciences, 1451(1), 5–28. https://doi.org/10.1111/nyas.13989

Putri, A. S., Fahrizal, Y., & Triyana, T. (2021). Application of spiritual therapy to self-control to prevent relapse in drug abuse patients. Journal of Clinical Psychology and Mental Health, *10*(2), 123–135. https://doi.org/10.32504/sm.v20i1.1122

Volkow, N. D., Koob, G. F., & McLellan, A. T. (2016). Neurobiologic Advances from the Brain Disease Model of Addiction. The New England Journal of Medicine, 374(4), 363–371. https://doi.org/10.1056/NEJMra1511480

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Published

2025-08-25

How to Cite

Azizah, L. N., Kumalasari, A. D., & Fitriana, E. (2025). Cultural Adaptation of the Three Good Things Protocol for Drug Abusers Undergoing Drug Rehabilitation. Dinasti International Journal of Education Management and Social Science, 6(6), 4915–4922. https://doi.org/10.38035/dijemss.v6i6.4941